DR. RANDY J. MCCOY (NPI# 1164466256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164466256 |
| Entity Type | Individual |
| Full Name | DR. RANDY J. MCCOY |
| Credential | M.D. |
| Practice Address |
425 N Santiam Hwy Lebanon OR 97355-4361 |
| Practice Telephone | 5414517800 |
| Practice Fax Number | 5414517808 |
| Mailing Telephone | 5414517800 |
| Mailing Fax Number | 5414517808 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD20135 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
425 N SANTIAM HWY |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380208 | Marylou L. Belozer | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2006-06-06 |
| 1912472143 | Russell Matthew Wimmer | Physician Assistant | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2018-10-03 |
| 1619328556 | Kye Sinclair Dixson | Physician Assistant | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2016-06-22 |
| 1003225525 | Heidi Lee Grimes | Nurse Practitioner | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-08-08 |
| 1124430459 | Kathryn Bachman | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-05-21 |
| 1821409731 | David Simmons | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2014-05-13 |
| 1083966436 | Laura E Sisson | Psychologist | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-10-10 |
| 1245595180 | Mid-valley Healthcare, Inc. | Urology | 425 N Santiam Hwy, Suite 2a, Lebanon, OR 97355-4361 | 2012-07-06 |
| 1891059135 | Mid-valley Healthcare, Inc. | Internal Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-07-02 |
| 1972869121 | Mid-valley Healthcare, Inc. | Family Medicine | 425 N Santiam Hwy, Lebanon, OR 97355-4361 | 2012-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707511 | Sofia Iqbal | Internal Medicine | 120 Hospital Dr Ste 300, Lebanon, MO 65536-9227 | 2015-08-07 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1891051892 | Charles Opperman | Internal Medicine | 1470 N Broadway St Ste 130, Lebanon, OH 45036-1762 | 2012-04-04 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1215145404 | Neenos Abd Alnoor | Internal Medicine | 4th & Walnut Street, 2nd Floor, Lebanon, PA 17042-6123 | 2007-05-19 |
| 1154541050 | Integrity Hospitalists Group LLP | Internal Medicine | 206 Babb Drive, Suite C, Lebanon, TN 37087 | 2007-04-26 |
| 1770610800 | Willie Sandoual Cortez | Internal Medicine | 547 East Elm, Lebanon, MO 65536 | 2007-02-27 |
| 1295806750 | Neil R. Schwartzman | Internal Medicine | 441 W Elm St Ste A, Lebanon, MO 65536-3573 | 2006-11-13 |
| 1598853889 | Samina Yousuf Md PC | Internal Medicine | 383 Highland Dr, Lebanon, VA 24266-4632 | 2006-10-11 |
| 1578661443 | Tullahoma Hma Physician Management Inc | Internal Medicine | 124 Public Sq, Lebanon, TN 37087-2734 | 2006-09-21 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.